What is pelvic pain?
Pelvic pain can be described as ongoing symptoms in possibly the pelvic area, abdomen, anorectal area ( bum ) , scrotum or testicles. There may also be pain on sexual activity or passing urine or on bowel movements. It’s likely you will also have undergone considerable examinations such as urological, colorectal with usually negative findings which can be both reassuring and frustrating as the pain and symptoms remain despite the negative tests. The absence of any infectious or bacterial cause also usually results in the somewhat worrying diagnosis of Chronic pelvic pain syndrome.
What symptoms are common
- Pain on sexual activity
- Urinary symptoms
- Rectal symptom
- Low back pain or abdominal pelvic pain
- Low mood, anxiety, often difficultly with relationships
Why might I develop Pelvic Pain ?
Chronic Prostatitis or Chronic Pelvic Pain
Pelvic Pain can be associated with Prostate Problems especially Chronic prostatitis or Chronic pelvic pain
This is the most common type of pelvic pain.
Pudendal Neuralgia
This is another common condition which affects the important Pudendal nerve in the pelvis. Compression or irritation of this can lead to pain, pins and needles and numbness as it supplies the penis , perineum ( between penis and rectum) and rectum. It’s also very common in cyclists
Post operative pain
Pelvic pain can be common post bowel or prostate surgery
Can I be treated for Pelvic Pain?
Yes but it’s very specialised area of Physiotherapy practice
What might Specialised Pelvic Pain Physiotherapy involve?
Your treatment will depend on your diagnosis and may include some of the following
1.Hands on manual therapy treatment to your low back and pelvis, getting the joints moving correctly
2. Trigger point therapy: Getting the muscles working properly and rid of the overactive parts in both the low back muscles, hip muscles and pelvic floor muscles. You will also be taught how to do this yourself also.
3.Pelvic floor exercises to release your pelvic floor
4. Getting you moving better, think yoga poses and squatting
5. Specific hip, spine and pelvis exercises to get you and your pelvic floor moving better
6. Specialised Breathing and relaxation work
7. Re-education of the pelvic floor, hip and abdominal musculature General exercise
8. Education regarding pain
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